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Level of Anxiety in Parents of High-Risk Premature Twins

Published online by Cambridge University Press:  01 August 2014

V. Zanardo ,
F. Freato  and
C. Cereda
V. Zanardo*
Affiliation:
Department of Pediatrics, Padua University, Padua, Italy
F. Freato
Affiliation:
Department of Pediatrics, Padua University, Padua, Italy
C. Cereda
Affiliation:
Department of Pediatrics, Padua University, Padua, Italy
*
Department of Pediatrics, Padua University, Via Giustiniani, 3, 35100 Padova, Italy

Abstract

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We attempted to define parental anxiety in a population of parents of high-risk premature twins (mean birth weight 1.493 ± 227 kg; mean gestational age 33 ± 3.5 weeks), admitted to III level NICU. We specifically examined the following factors: gestational age of the twins, whether or not the twins had ventilatory support, pulmonary sequelae, major malformations or intra-ventricular hemorrhage, parental gender and highest level of education obtained by the parent. In the immediate pre-discharge period and a month later, a questionnaire (State-Trait Anxiety Inventory) was given to all parents of premature twins presenting for the discharge. The parents of 30 twins entered the study twice, at the discharge of their first twin (mean postnatal age 40 ± 32 days), and one month later. They included 15 mothers and 11 fathers, aged 33 ± 5.5 and 33 ± 4.2 years, and at the second evaluation 11 mothers and 10 fathers, respectively. As case-controls we examined parental anxiety of fifteen consecutive singleton high-risk prematures, with equal gestational age, discharged immediately after. Our results indicate that the parents of high-risk twin and singleton prematures present an elevated, lasting state-trait anxiety level. Pre- and post-discharge parental anxiety is more elevated (not significant) in twinning with respect to the prematurity alone. When assessed separately by parental gender, in both these groups an increased (not significant) anxiety was persistently found in the mothers. We recommend that, although neonatologists generally define the discharge of the high-risk premature based upon the acquired stabilization of vital parameters, they pay special attention to the twin group we have identified which is at increased risk for predischarge parental anxiety.

Keywords

AssessmentParental anxietyPrematureSingletonSTAI-YTwin
Type
Research Article
Information
Acta geneticae medicae et gemellologiae: twin research , Volume 47 , Issue 1 , January 1998 , pp. 13 - 18
Copyright
Copyright © The International Society for Twin Studies 1998

References

REFERENCES

1.Bevan, JC, Johston, C, Haig, MJ (1990): Preoperative parental anxiety predicts behavioural and emotional responses to induction of anaesthesia in children. Can J Anaesth 37: 177–182.CrossRefGoogle ScholarPubMed
2.Blickstein, I (1991): The definition, diagnosis, and management of growth-discordant twins: an international census Survey. Acta Genet Gemellol 40: 345–351.Google Scholar
3.Chen, SJ, Vohr, BR, Oh, W (1993): Effects of birth order, gender and intrauterine growth retardation on the outcome of very low birth weight in twins. J Pediatr 123: 132–136.Google Scholar
4.Fraser, D, Picard, R, Picard, E (1991): Factors associated with neonatal problems in twin gestation. Acta Genet Gemellol 40: 193–200.Google Scholar
5.Ghai, V, Vidyasagar, D (1988): Morbidity and mortality factors in twins. An epidemiologic approach. Clin Perinatol 15: 1234–1240.CrossRefGoogle ScholarPubMed
6.Jay, SM, Elliott, CH (1990): Stress inoculation program for parents whose children are undergoing painfull medical procedures. J Consult Clin Psycol 58: 799–804.CrossRefGoogle Scholar
7.Litman, RS, Berger, AA, Chhibber, A (1996): An evaluation of preoperative anxiety in a population of parents of infants and children undergoing ambulatory surgery. Paediatric Anaesthesia 6: 443–447.Google Scholar
8.McCulloch, K (1988): Neonatal problems in twins. Clin Perinatol 15: 141–158.Google Scholar
9.Pedrabissi, L, Santinello, M (1989): Manuale dell'adattamento italiano dello STAI forma Y. Organizzazioni Speciali, Firenze.Google Scholar
10.Schulman, JL, Foley, JM, Vernon, DTA (1967): Study on the effect of the mother's presence during anaesthesia induction. Pediatrics 39: 111–114.Google Scholar
11.Sonntag, J, Watz, S, Schollmeyer, T, Schuppler, U, Schroeder, H, Weisner, D (1996): Morbidity and mortality of discordant twins up to 34 weeks of gestational age. Eur J Pediatr 155: 224–229.Google Scholar
12.Spielbergher, CD (1983): Manual for the State-Trait Anxiety Inventory (Form Y). Palo Alto, CA: Consulting Psychologists Press.Google Scholar
13.Taylor, S, Koch, W J, Crocket, D (1991): Anxiety sensitivity, trait anxiety, and the anxiety disorders. J Anxiety Disord 5: 293–311.CrossRefGoogle Scholar
14.Van den Bergh, BRH (1990): The influence of maternal emotions during pregnancy and fetal and neonatal behaviour. Pre- and Peri-Natal Psychology 5(2): 119–130.Google Scholar
15.Vetter, K (1993): Considerations on growth discordant twins. J Perinat Med 21: 267–272.CrossRefGoogle ScholarPubMed
16.Zanardo, V, Cagdas, S, Marzari, F (1997): Factors associated with neonatal hypoglycemia in premature twins and singletons. Acta Genet Gemellol 46: 69–77.Google Scholar
17.Waisel, DB, Truog, RD (1995): The benefits of the explanation of the risks of anaesthesia in the day surgery patient. J Anaesth 7: 200–204.Google Scholar
18.Wenstrom, KD, Gall, SA (1988): Incidence, morbidity and mortality, and diagnosis of twin gestations. Clin Perinatol 15: 1–11.Google Scholar